Individual provider Active NPI

Yewande Olufisayo Kehinde, OD

  • Optometrist
  • Baltimore, MD
National Provider Identifier
1356980619
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA2764 Issued in MD
Practice address
2925 Lord Baltimore Dr Ste 300
Baltimore, MD 21244-2660
Phone
(443) 983-9392
NPI assigned
Jan 3, 2020
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA2764 MD Primary

Addresses

Primary practice location

2925 Lord Baltimore Dr Ste 300
Baltimore, MD 21244-2660

Mailing address

17 Elwell CT
Randallstown, MD 21133-4307

Other practice location 1

1809 Reisterstown Rd
Pikesville, MD 21208-6321
Phone (410) 484-6348

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001001540 MD Practitioner - Optometry 5092134627 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katzen Medical Associates PCGroup PAC ID 9436051232, 24 clinicians

Practice addresses (Care Compare)

301 Saint Paul St
Baltimore, MD 21202-2102

419 W Redwood St
Suite 420
Baltimore, MD 21201-7002
Phone (667) 214-1111

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
82.7
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA2764MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 19, 2021 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist CurrentSince Aug 20, 2023 Accepting new patients
Katzen Medical Associates, PC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Current Accepting new patients
Kaiser Foundation Health Plan of the Mid Atlantic States, Inc CurrentSince Jul 19, 2021 Accepting new patients
Silver Spring Optometry, LLC Optometrist PastSince Apr 2, 2021 Accepting new patients

Locations

301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930

301 Saint Paul St
Ste 902
Baltimore, MD 21202
Phone (410) 727-8380

7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600

14700 Baltimore Ave
Unit 109
Laurel, MD 20707
Phone (301) 245-3903

2101 E Jefferson St
#4E
Rockville, MD 20852

2101 E Jefferson St
Ste 6WPPQA
Rockville, MD 20852
Phone (301) 816-5853

2936 Festival Way
Ste 409A
Waldorf, MD 20601
Phone (301) 710-6919

7141 Security Blvd
Windsor Mill, MD 21244
Phone (410) 281-6200

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: ywande.kehindeod.p1@direct.katzeneye.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1356980619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ELWELL CT",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211334307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 LORD BALTIMORE DR STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442660",
            "telephone_number": "443-983-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 Reisterstown Rd",
            "address_purpose": "LOCATION",
            "city": "Pikesville",
            "state": "MD",
            "postal_code": "212086321",
            "country_code": "US",
            "telephone_number": "410-484-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHINDE",
        "first_name": "YEWANDE",
        "middle_name": "OLUFISAYO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1809 Reisterstown Rd",
            "city": "Pikesville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212086321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.